重庆市自报告有性行为在校青年学生艾滋病预防知行分离现状分析  

Separation situation of AIDS prevention knowledge and behavior among school youth with self-reported sexual behavior in Chongqing Municipality

作　　者：谭博 卜清清 陈忻睿 张萌[1] 邓丹[1] TAN Bo;BU Qingqing;CHEN Xinrui;ZHANG Meng;DENG Dan(Department of Health Statistics,Medical and Social Development Research Center,School of Public Health,Chongqing Medical University,Chongqing 401331,China)

机构地区：[1]重庆医科大学公共卫生学院医学与社会发展研究中心卫生统计学教研室,重庆401331

出　　处：《中国艾滋病性病》2023年第11期1220-1224,共5页Chinese Journal of Aids & STD

基　　金：重庆市科委项目(cstc2020kpzx-kphdA0046);重庆市卫健委项目(X7769);重庆市教委人文社科项目(21SKGH027)。

摘　　要：目的调查重庆市自报告有性行为在校青年学生在艾滋病预防中的知行分离现状及有关影响因素,为开展艾滋病教育干预提供参考依据。方法于重庆市开展横断面调查,通过方便抽样,抽取本科、大专、中专学生,调查其艾滋病相关知识、态度及行为,采用多因素Logistic回归模型分析知行分离的影响因素。结果共纳入2870名青年学生,其中40.9%出现知行分离,多因素Logistic回归结果显示,年龄为18~19岁(OR=0.641,95%CI:0.469~0.875)和≥20岁(OR=0.534,95%CI:0.389~0.732)、学校类型为高职/大专(OR=1.248,95%CI:1.038~1.501)和中专(OR=1.443,95%CI:1.039~2.003)、每月支出≥3000元(OR=1.459,95%CI:1.019~2.090)、最近一年性行为频率>3次(OR=1.618,95%CI:1.383~1.893)、性行为对象非配偶或恋爱的异性(OR=1.667,95%CI:1.329~2.092)、不曾主动查询艾滋病知识(OR=1.168,95%CI:1.001~1.369)以及最近一年没有接受过学校艾滋病宣传(OR=1.269,95%CI:1.071~1.505)是知行分离的影响因素(P<0.05)。结论重庆市有性行为在校青年学生艾滋病知行分离现象较为明显,后续应针对性地制定艾滋病健康教育策略,融合全面性教育,加强健康态度和信念教育。Objective To investigate the separation status of knowledge and behavior for AIDS prevention and its associated influencing factors among school youth with self-reported sexual behavior in Chongqing Municipality,so as to provide a reference for AIDS education and intervention.Methods A cross-sectional survey was conducted in Chongqing Municipality.According to convenient sampling,undergraduates,junior college students,and technical secondary school students were selected to investigate their knowledge,attitudes,and behaviors related to AIDS,and the logistic regression model was performed to analyze the influencing factors on separation of knowledge-behavior.Results A total of 2870 school youth were included,of whom 40.9%showed a separation of knowledge and behavior.The logistic regression findings indicated that those aged 18-19 years old(OR=0.641,95%CI:0.469-0.875)and those aged≥20 years old(OR=0.534,95%CI:0.389-0.732),school type was higher vocational education/junior college(OR=1.248,95%CI:1.038-1.501)and technical secondary school(OR=1.443,95%CI:1.039-2.003),monthly expenditure was≥3000 Yuan(OR=1.459,95%CI:1.019-2.090),frequency of sexual behavior was>3 times in the past year(OR=1.618,95%CI:1.383-1.893),sexual partner was not a spouse or in a relationship(OR=1.667,95%CI:1.329-2.092),those have not actively inquired about AIDS(OR=1.168,95%CI:1.001-1.369)and haven't received AIDS propaganda in school in the past year(OR=1.269,95%CI:1.071-1.505),were the affecting factors on separation of knowledge and behavior(P<0.05).Conclusions The separation of AIDS knowledge and behavior among school youth with selfreported sexual behavior in Chongqing Municipality is obvious.It suggested that targeted AIDS health education strategies should be strengthened by integrating comprehensive sex education and improving the education of health attitudes and beliefs.

关 键 词：艾滋病 青年学生 知行分离 影响因素 

分 类 号：R512.91[医药卫生—内科学]